NPI 1326435199

Forever Kids Pediatric Clinic

Organisation Clinic/Center Canton, TX

Practice location

Address: 20783 Interstate 20 South Access Road, Canton, TX 75103
Phone: (214) 773-5669
Fax: (844) 678-6258

Authorised official

Name: Lacy Dawn Burkes
Title: Pediatric Nurse Practitioner
Phone: (214) 773-5669

Registered specialties (2)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 754047 (TX)

Other Clinic/Center providers in Texas →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI: 1326435199
Entity type: Organization
NPI issued: 20 Apr 2015
Record last updated: 26 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.